Granite Springs Dentistry, Llc

NPI 1033476239 - Dentist - 1223G0001X

NPI Details
NPI 1033476239
Enumeration Date 04/12/2012
Last Updated 04/07/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name MERRILL MERRILL
Position OWNER
Phone (720) 670-0798
Fax
Practice Location
2316 DELL RANGE BLVD
CHEYENNE WY, 82009-5191, US
Phone (720) 670-0798
Fax
Business Location
2316 DELL RANGE BLVD
CHEYENNE WY, 82009-5191, US
Phone (720) 670-0798
Fax
Toxanomy
Taxonomy Code 1223G0001X
License State Wyoming
License Number 1270
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According to our database, Granite Springs Dentistry, Llc NPI is 1033476239, taxonomy code is 1223G0001X and license number is 1270, license state is located at Wyoming. Granite Springs Dentistry, Llc physically located at 2316 Dell Range Blvd, Cheyenne WY, 82009-5191. NPI Number 1033115704 has the healthcare provider type.

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1033476239 NPI number is provided on an as is basis without warranty of any kind. 1033476239 is maintained by the National Plan & Provider Enumeration System. The contents of Granite Springs Dentistry, Llc are for informational purposes only.